To avoid excessive bleeding and protect your joints:
Sept. 26, 2014
- Exercise regularly. Activities such as swimming, bicycle riding and walking can build up muscles while protecting joints. Contact sports — such as football, hockey or wrestling — are not safe for people with hemophilia.
- Avoid certain pain medications. Drugs that can aggravate bleeding include aspirin and ibuprofen (Advil, Motrin, others). Instead, use acetaminophen (Tylenol, others), which is a safe alternative for mild pain relief.
- Avoid blood-thinning medications. Medications that prevent blood from clotting include heparin, warfarin (Coumadin), clopidogrel (Plavix) and prasugrel (Effient).
- Practice good dental hygiene. The goal is to prevent tooth extraction, which can lead to excessive bleeding.
- Protect your child from injuries that could cause bleeding. Kneepads, elbow pads, helmets and safety belts all may help prevent injuries from falls and other accidents. Keep your home free of furniture with sharp corners.
- Hoots WK, et al. Clinical manifestations and diagnosis of hemophilia. http://www.uptodate.com/home. Accessed May 12, 2014.
- AskMayoExpert. What tests are needed to confirm the diagnosis or expedite the evaluation of hemophilia? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
- Hoffman R, et al. Hematology: Basic Principles and Practice. 6th ed. Philadelphia, Pa.: Saunders Elsevier 2013. http://www.clinicalkey.com. Accessed May 12, 2014.
- Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.clinicalkey.com. Accessed May 12, 2014.
- Hoots WK, et al. Treatment of hemophilia. http://www.uptodate.com/home. Accessed May 12, 2014.
- Berntorp E, et al. Modern haemophilia care. The Lancet. 2012;379:1447.
- Living with hemophilia. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hemophilia/livingwith.html Accessed May 13, 2014.
- Lim MY, et al. Outcomes of management of acute coronary syndrome in patients with congenital bleeding disorders: A single center experience and review of the literature. Thrombosis Research. 2012;130:316.
- Barbara Woodward Lips Patient Education Center. Hemophilia. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2009.
- Cook, AJ. Decision Support System. Mayo Clinic, Rochester, Minn. July 17, 2014.
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